Department of Public Health, Aarhus University, 8000 Aarhus, Denmark; Department of Internal Medicine, G⊘dstrup Hospital, 7400 Herning, Denmark.
Department of Public Health, Aarhus University, 8000 Aarhus, Denmark.
J Dairy Sci. 2024 May;107(5):2653-2667. doi: 10.3168/jds.2023-24152. Epub 2023 Dec 21.
The purpose of this study was to investigate if consumption of a high-protein, low-carbohydrate breakfast (PRO) leads to a lower subsequent ad libitum energy intake at lunch and the rest of the day compared with ingestion of an isocaloric low-protein, high-carbohydrate breakfast (CHO) or no breakfast (CON). The study was designed as a randomized controlled 3-period crossover study. Thirty young (18-30 yr) females with overweight to obesity (body mass index >25 kg/m) in random order completed 3 separate experimental days where they consumed either a PRO, CHO, or CON breakfast test meal followed by an ad libitum lunch meal 3 h after breakfast. Participants were allocated to a sequence group by their inclusion number. The PRO and CHO breakfasts were matched in dietary fiber and fat content. Energy intake at lunch was calculated and dietary records were obtained for the rest of the day to calculate the total daily energy intake and macronutrient intake. Ratings of appetite sensations between meals and palatability of the test meals were assessed using visual analog scale sheets in intervals ranging from 10 to 30 min. In addition, blood samples were obtained at multiple time points separated by 10 to 60 min intervals between breakfast and lunch and were analyzed for appetite-regulating gut hormones, insulin, and glucose. Finally, performance in a cognitive concentration test was tested 150 min after breakfast. Compared with CHO and CON, the area under the curves for satiety, fullness, and satisfaction in the 3 h after breakfast were significantly higher after PRO, whereas the areas under the curve for hunger, desire to eat, and prospective eating were significantly lower after PRO. The appetite-regulating gut hormones cholecystokinin, glucagon-like peptide-1, and ghrelin in the hours after breakfast, energy intake during the ad libitum lunch meal, and the total daily energy intake did not differ significantly between PRO, CHO, and CON. However, the cognitive concentration test score was 3.5 percentage points higher for PRO, but not CHO, versus CON. A dairy-based high-protein, low-carbohydrate breakfast increased satiety sensation in the hours after breakfast but did not reduce total daily energy intake compared with an isocaloric low-protein, high-carbohydrate breakfast or omitting breakfast. However, performance in a cognitive concentration test before lunch was enhanced after the high-protein, low-carbohydrate breakfast, but not the low-protein, high-carbohydrate breakfast, compared with omitting breakfast.
本研究旨在探究高蛋白、低碳水化合物早餐(PRO)与等热量高蛋白、低碳水化合物早餐(CHO)或无早餐(CON)相比,是否会导致午餐及全天剩余时间的自由能量摄入减少。该研究设计为随机对照 3 期交叉研究。30 名超重至肥胖(BMI>25kg/m2)的年轻女性(18-30 岁)按随机顺序分别完成 3 个单独的实验日,摄入 PRO、CHO 或 CON 早餐测试餐,随后在早餐后 3 小时进行自由午餐。参与者根据纳入顺序被分配到一个序列组。PRO 和 CHO 早餐的膳食纤维和脂肪含量相匹配。计算午餐的能量摄入量,并获得全天其余时间的饮食记录,以计算总能量摄入量和宏量营养素摄入量。在 10-30 分钟的间隔内使用视觉模拟量表评估餐间食欲感觉和测试餐的适口性。此外,在早餐和午餐之间 10-60 分钟的间隔内多次采集血样,并分析食欲调节肠道激素、胰岛素和血糖。最后,在早餐后 150 分钟测试认知集中测试的表现。与 CHO 和 CON 相比,PRO 后早餐后 3 小时的饱腹感、满足感和满意度曲线下面积显著升高,而饥饿感、食欲和预期进食曲线下面积显著降低。早餐后几小时的胆囊收缩素、胰高血糖素样肽-1 和胃饥饿素等食欲调节肠道激素、自由午餐时的能量摄入以及总日能量摄入在 PRO、CHO 和 CON 之间无显著差异。然而,PRO 的认知集中测试得分比 CON 高 3.5 个百分点,但 CHO 则不然。与等热量高蛋白、低碳水化合物早餐或无早餐相比,基于乳制品的高蛋白、低碳水化合物早餐可增加早餐后几小时的饱腹感,但与等热量高蛋白、低碳水化合物早餐或无早餐相比,不会减少全天总能量摄入。然而,与无早餐相比,高蛋白、低碳水化合物早餐可提高午餐前的认知集中测试表现,但高蛋白、低碳水化合物早餐则不然。